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Debra K Main, MS,LPC
Mental Health Counselor in Crossville, Tennessee
NPI 1619292885

Debra K Main is a Mental Health Counselor based in Crossville, TN and is specialized in Mental Health. Debra K Main practices in Crossville, TN and has the professional credentials of MS,LPC. The NPI Number for Debra K Main is 1619292885 and holds a License No. PC005461 (Tennessee).

The current practice location address for Debra K Main is 352 Lantana Rd, Crossville, TN and can be reached out via phone at 931-707-8200. You can also correspond with Debra K Main through the mailing address at 352 LANTANA RD, CROSSVILLE, TN - 38555-4900 (mailing address contact number: 931-707-8200).

Location: 352 Lantana Rd, Crossville, TN, 38555-4900
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Provider Profile Details
NPI Number
1619292885
Provider Name
Debra K Main
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
352 Lantana Rd, Crossville, TN, 38555-4900
Phone Number
931-707-8200
Fax Number
Provider Enumeration Date
03/31/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
056845 01 PA GROUP PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
352 Lantana Rd
City
State
Zip
38555-4900
Phone Number
931-707-8200
Fax Number
person
Provider Business Mailing Address Details
Address
352 Lantana Rd
City
State
Zip
38555-4900
Phone Number
931-707-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
05938 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC005461 (Pennsylvania)
Definition
Definition to come...
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